Stacy G. Pasch, O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4960 Issued in OH

Legal business name

STACY G. PASCH, O.D. INC

Practice address

2355 Hayes Ave
Fremont, OH 43420-2634

Phone

(419) 333-9638

Fax

(419) 332-0168

NPI assigned

Jul 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stacy Pasch Rellinger, O.D.NPI 1134299209

Title

Owner

Phone

(419) 333-9638

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Pasch Rellinger, OD

  • Optometrist
  • Fremont, OH
  • NPI 1134299209
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1871592634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-333-9638",
            "fax_number": "419-332-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-333-9638",
            "fax_number": "419-332-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY G. PASCH, O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "RELLINGER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "PASCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-333-9638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "28482346004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "9331911",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321875",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BLUE CROSS BLUESHIEL",
            "identifier": "000000339206",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP NUM",
            "identifier": "DA9205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00078028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyce E Sopkovich, LISW-S
• Kip William Soviak, FNP
• Libby Spears
• Jason Sprenger
• Kyle Spriggs, PT, ATC, LAT, CSCS
• Eran Marie Stacy, CASE MANAGER
• Ashtyn Stadler
• Stanley Fuller
• Edison Stawowy
• Julie Stawowy

• Optometrist in Fremont, OH
• Providers in Fremont, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.